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笔者收集407例急性有机磷农药中毒者中,致迟发性神经病变14例,分析如下。临床资料本组男8例,女6例;年龄为18~47岁。13例口服中毒,1例皮肤吸收中毒,6例DDV 中毒,5例氧化乐果中毒,3例甲胺磷中毒。均具有毒蕈碱和烟碱样中毒表现,其中8例重度中毒。给予洗胃或清冼皮肤、解毒药物及对症治疗。于中毒症状消失的9~36天出现周围神经病变症状,表现四肢指趾麻木、疼痛等感觉异常,检查四肢远端痛觉、触觉减退,呈套状分布,由远端缓慢向近心端发展;同时伴有进行性四肢乏力,行走困
The author collected 407 cases of acute organophosphorus pesticide poisoning, caused by delayed neuropathy in 14 cases, analyzed as follows. Clinical data The group of 8 males and 6 females; aged 18 to 47 years. 13 cases of oral poisoning, 1 case of skin absorption poisoning, DDV poisoning in 6 cases, 5 cases of omethoate, 3 cases of methamidophos poisoning. Both have muscarinic and nicotine-like poisoning performance, of which 8 cases were severe poisoning. Give gastric lavage or clear the skin, detoxification drugs and symptomatic treatment. Symptoms of peripheral neuropathy occurred on days 9 to 36 of the symptom disappearance of symptoms of poisoning. The numbness of limbs and numbness of the limbs, pain and other abnormalities were observed. Extremity pain and tactile sensation of extremities were examined. At the same time accompanied by progressive weakness, walking difficulties